NPI | 1326584004 |
---|---|
Former Name | EMILY RANDALL NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA CA17395) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 17395) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2022-06-20 |